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Online Anaesthesia and Intensive Care Crisis Simulation Masterclass: Helsinki Declaration through High Fidelity Simulation


  • Dr Daniel Arnal, Madrid, Spain 
  • Dr Julien Picard, Grenoble, France 
  • Dr Marta Bernardino (Madrid, Spain) 
  • Mrs. Elena Botillo (Madrid, Spain) 
  • Prof. Doris Østergaard (Copenhagen, Denmark) 
  • Mr. Alex Rawlings (Brussels, Belgium) 


Why Online Simulation?

Training anaesthesiologists in teamwork, leadership, task management, communication and the other concepts included in Crisis Resource Management can improve patient safety through transversal competencies that would increase individual, team and organizational resilience.

There are new educational models that can help us improve patient safety. Clinical simulation is a learning technique used for almost four years decades in the field of healthcare. Its main role is the acquisition of skills and abilities within an environment that is as close as possible to reality.

Dr Gaba defines simulation “as a technique – not a technology – to replace or amplify real experiences with directed scenarios that reproduce the substantial aspects of the world in a totally interactive way”.

A clinical Simulation is an excellent tool for adult learning because it requires experiential learning. Through debriefing it also allows you to realise the need for change.

The current COVID-19 pandemic has interrupted international travelling and imposed difficulties for face-to-face programs. The joint efforts of the ESAIC Patient Safety and Quality Committee and Simulation Committee tries to take advantage of novel communication tools to provide the closest possible online experience to traditional face-to-face high-fidelity simulation scenarios.

The benefits for attendants are training availability, reduction of travel costs and a safer environment while trading part of the immersive experience.


Why the Helsinki Declaration?

The Helsinki Declaration on Patient Safety in Anaesthesiology from 2010 is the result of a consensus between both the European Board of Anaesthesiology (EBA) and the ESAIC Board of Directors. It is signed by all ESAIC member societies, represented in the National Association of Scientific Societies (NASC). This declaration lists a series of essential recommendations to improve patient safety in perioperative care. Among them, it lists a series of situations in which health organizations should promote the formation and adoption of practice guidelines that facilitate the proper handling of crises.

The situations are the following:

Control of equipment | Pre-operative assessment and preparation | Labelling of syringes | Difficult/ failed intubation | Malignant Hyperthermia | Anaphylaxis | Local Anaesthetic Toxicity | Massive Haemorrhage | Infection control | Perioperative care and pain relief | Medication Errors.

In addition, in the Bases of the Declaration, it is quoted verbatim: “Human factors play an important role in providing safe care to patients, and we will work with our fellow surgeons, nurses and others to achieve it.”


Course objectives

  • Learning based on personal online experience through a high-fidelity simulation centre.
  • Experiencing crisis situations related to the Helsinki Declaration.
  • Experience, practice and participate in debriefing in a safe environment.
  • Conceptualize non-technical skills and human factors in the face of a crisis.
  • Acquire a set of practical tools for routine clinical practice.


Course Programme

The ESAIC Anaesthesia and Intensive Care Crisis Simulation Masterclass: Helsinki Declaration through High Fidelity Simulation will be a live online programme with a 9-hour simulation workshop divided into two sessions with interactive elements, including five simulation cases. These will include Intensive Care and Theatre settings. 

During these 60-min sessions (Case + Debriefing), a challenging clinical scenario will be reproduced in a live fully immersive environment including a high-fidelity patient simulator (mannequin) in a realistic simulated scenario.  

Attendees will have the opportunity to communicate with the attending staff through online tools to give the appropriate instructions to manage these clinical cases. The scenario will run for 10-15 minutes with an intermediate 5-minute pause where attendees will be allocated to two breakout sessions to discuss their views and options with the case leaders.  

After each scenario, attendees will work with a shared whiteboard tool to prepare the debriefing discussion. This will be followed by skilled instructors facilitating a 30–40-minute live debriefing offering constructive feedback. This session will involve all participants. 

Full Course Programme


May 11

10:00 – 14:30  Theory and Foundation + ICU Scenarios 

May 12

10:00 – 14:30  Theatre Scenarios 


Pre-reading materials will be provided.


Onsite tools in the Simulation Centre: High fidelity simulation scenario. SimView or analogue equipped with a ceiling camera and room microphone linked to a Zoom account; 3 confederate health professionals connected to Zoom through headphones & individual cellular connection.


Online requirements for attendees: A good internet connection, a webcam and a microphone will be required.

You will also need to make sure you have access to Zoom (https://zoom.us) & Mural (https://www.mural.com).


This course is most suited to those who can speak and understand English at a high level



Membership TypeEarly-Bird FeeNormal Fee
Full Member€ 385€ 450
Reduced Fee Countries€ 230€ 270
Trainee Member€ 190€ 250
Allied Member€ 190€ 250
Non Member€ 480€ 565

This event is VAT exempt

Please find a list of reduced fee countries here


How to register

Registration is through myESAIC.

Log in to your personal profile or create one for free here

Register Here


This masterclass is a part of the ESAIC Safer Care to Save Lives education programme which is supported through unrestricted educational grants from our key Patient Safety partners: Medtronic, Philips Healthcare, Edwards Life Sciences, Mindray and Getinge.

For more information contact simulation@esaic.org